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Author Question: The client has been prescribed carbidopa-levodopa (Sinemet). The highest priority instruction for ... (Read 60 times)

daltonest1984

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on: Jul 23, 2018
The client has been prescribed carbidopa-levodopa (Sinemet). The highest priority instruction for the client is to avoid eating:
 
  a. oranges.
  b. lima beans.
  c. spinach.
  d. watermelon.

Question 2

The client has been started on phenytoin. He reports experiencing reddish-colored urine. What is the nurse's highest priority intervention?
 
  a. Report this symptom to the physician; this is an adverse reaction.
  b. Instruct the client to stop the medication; this is a life-threatening reaction.
  c. Report this symptom to the physician; this indicates toxicity of the medication.
  d. Instruct the client that this is an expected side effect of the medication.


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xthemafja

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Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: B
Pyridoxine increases dopa decarboxylase action, which metabolizes levodopa in the peripheral nervous system to dopamine. Food rich in pyridoxine, such as lima beans, should be avoided.

Answer to Question 2

ANS: D
Phenytoin will cause reddish-brown colored urine.


daltonest1984

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Reply 2 on: Jul 23, 2018
Excellent

softEldritch

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Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

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